Factors Affecting the Behavior of Lung-Tb Patients in Preventing Transmission

Abstract

The study aims at determining what factors influence the behavior of pulmonary tuberculosis patients in preventing the transmission of pulmonary tuberculosis at the Garoga Health Center, Garoga District, North Tapanuli Regency in 2022. This type of research uses a descriptive analytic survey with a cross sectional design. The population in this study amounted to 48 people, while the sample amounted to 48 people. Data analysis was carried out by univariate, bivariate and multivariate analysis. The results of the chi square test showed that there was a relationship between 7 variables, namely knowledge, using masks, not spitting carelessly, consuming OAT regularly, isolation, PMO and culture had a p-value <α 0.05, meaning knowledge, using masks, not spitting. indiscriminately, taking OAT regularly, isolation, PMO and culture affect the prevention of pulmonary TB transmission at the Karoga health center, and the multivariate test has 6 knowledge variables, not spitting carelessly, consuming OAT regularly, isolation, PMO and culture affect. the results of multiple logistic regression tests shows that the variable consuming OAT regularly is the most dominant with an odds ratio (OR) of 52,990, meaning that it affects the prevention of pulmonary TB 53 times. The conclusion is that the dominant variable that most influences the prevention of pulmonary TB transmission at the Karoga Health Center is consuming OAT on a regular basis. It is recommended for patients with pulmonary TB to comply with all recommendations from health workers, including taking anti-tuberculosis drugs so that pulmonary TB patients can recover from their disease.

Comparison of Anxiety Levels in MDR-TB Patients with Individual and Short-term Regimens at Dr. Soebandi Regional General Hospital, Jember, Indonesia

“…TB patients who are undergoing initial treatment will experience severe anxiety due to the new habits of TB sufferers. 27 Patients who have passed the adjustment of new habits will experience an increase in anxiety again due to the length of treatment, which makes patients feel bored and unable to complete the treatment. 18 A study conducted at Dr. Kariadi General Hospital, Semarang, divided the duration of TB treatment into three groups, showing that the group of more than six months had a high level of anxiety, while the 3-6 months group had relatively low anxiety.…”

“…For each question or statement, respondents are asked to provide the severity of the symptoms they experience, with a rating scale ranging from 0 to 4. The ratings are then used to calculate the total anxiety score, which is divided into five levels, no anxiety (<14), mild anxiety (14-20), moderate anxiety (21)(22)(23)(24)(25)(26)(27), severe anxiety (28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41), and very severe anxiety (>41). A higher score indicates a higher level of anxiety.…”

Correlation Between Demographic Factors and Tuberculosis Prevention: A Literature Review

“…Program aimed to control TB are conducted by the government through the implementation of oral anti-tuberculosis (OAT) medications under the DOTS (Directly Observed Treatment Strategy). The five components of DOTS are the commitment of the governments to preserve control of pulmonary tuberculosis, pulmonary tuberculosis cases detection through the examination of sputum, six to eight months supervised treatment, pulmonary tuberculosis drugs routine and uninterrupted supply, and reporting system to evaluate treatment and program progress 11 . Preventive therapy (PT) and contact investigations (CI) may be effective methods for preventing the spread of TB to children.…”